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Jill Example
Jill is a 72 year old lady with high blood pressure, high cholesterol and newly-diagnosed type-2 diabetes, and was started on Metformin 1 week ago to control her blood sugar. She is being admitted for minor surgery (a biopsy) and. Because of conjunctivitis, she was started on antibiotic eye drops 3 days prior admission, to be continued for 10 days in total. Her surgery was uneventful but she developed significant ankle oedema, and was discharged on a diuretic.
On admission
- Metformin 500mg tablets. One tablet to be taken once daily for one week and then one to be taken twice daily for one week and then one to be taken three times daily. And continue.
- Aspirin 75mg dispersible tablets. One to be taken each morning. Take with or after food
- Simvastatin 40mg tablets one to be taken once at night.
- Chloramphenicol 0.5% eye drops 1-2 drops 4 times daily to both eyes for 10 days
On discharge
- Metformin 500mg tablets. one to be taken twice daily for 5 more days and then one to be taken three times daily. And continue.
- Amlodipine – oral - 5mg once daily
- Aspirin 75mg dispersible tablets. One to be taken each morning. Take with or after food
- Simvastatin – oral - 40mg once at night.
- Furosemide 40mg tablets. 80mg at 8am and 40mg at 2pm for 5 days. Then 40mg tablet – oral- daily at 8am till next review
- Chloramphenicol 0.5% eye drops 1-2 drops 4 times daily to both eyes for 5 days
The Inpatient Stay
The Inpatient stay is carried in the UKCore-Encounter profiled resource
Named Participants
- Patient - Jill Jones - UKCore-Patient profiled resource
- Specialist Registrar - Dr Amanda Smith - UKCore-Practitioner / UKCore-PractitionerRole profiled resource
- Discharging clinician (Document Author) - Dr Paul Rastall - UKCore-Practitioner / UKCore-PractitionerRole profiled resource
- Patient’s GP (Document recipient) - Dr John Lorenzo - UKCore-Practitioner / UKCore-PractitionerRole profiled resource
- Community Nurse (Document recipient) - Mrs Angela Jones - UKCore-Practitioner / UKCore-PractitionerRole profiled resource
Named Organisations
- Patient’s GP Practice - MGP Medical Centre - UKCore-Organization profiled resource
- Discharging Hospital - Leeds Teaching Hospitals NHS Trust - UKCore-Organization profiled resource
Example Instance of Scenario
{ "resourceType": "Bundle", "id": "7dbe82ff-6b4b-4f15-8557-65483368c944", "meta": { "lastUpdated": "2023-01-27T14:02:00+00:00", "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Bundle" ] }, "identifier": { "system": "https://tools.ietf.org/html/rfc4122", "value": "f3153df5-0f30-4eb6-b323-859ab4ae8176" }, "type": "document", "timestamp": "2023-01-27T14:02:00Z", "entry": [ { "fullUrl": "urn:uuid:7cd1ccbf-af44-4240-b32e-98a655a5ca4c", "resource": { "resourceType": "Composition", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Composition" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType", "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "789718008", "display": "Cardiology service" } ] } } ], "status": "final", "type": { "coding": [ { "system": "http://snomed.info/sct", "code": "373942005", "display": "Discharge summary" } ] }, "subject": { "reference": "urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" }, "encounter": { "reference": "urn:uuid:98d48b69-3b0c-4a17-9708-8094422d80a5" }, "date": "2023-01-27T13:44:00+00:00", "author": [ { "reference": "urn:uuid:b50caf6d-045b-4158-a859-47b0517f9651" } ], "title": "Discharge Summary", "custodian": { "reference": "urn:uuid:376ed8d0-e4a8-4468-9ede-d955e85b4d85" }, "section": [ { "title": "Admission details", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "admission-details", "display": "Admission details" } ] }, "text": { "status": "extensions", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Reason for admission</th><td>Planned biopsy</td></tr><tr><th>Admission method</th><td>Planned</td></tr><tr><th>Source of admission</th><td>General Practitioner referral</td></tr><tr><th>Date/time of admission</th><td>27-Jan-2023 13:44</td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:98d48b69-3b0c-4a17-9708-8094422d80a5" } ] }, { "title": "Clinical summary", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "clinical-summary", "display": "Clinical summary" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Clinical Summary</th></tr><tr><td><p>72 year old lady with high blood pressure, high cholesterol and newly-diagnosed type-2 diabetes, and was started on Metformin 1 week ago to control her blood sugar.</p><p>She is being admitted for minor surgery (a biopsy) and. Because of conjunctivitis, she was started on antibiotic eye drops 3 days prior admission, to be continued for 10 days in total.</p><p>Surgery was uneventful but she developed significant ankle oedema, discharged on diuretic.</p></td></tr></tbody></table></div>" } }, { "title": "Diagnoses", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "diagnoses", "display": "Diagnoses" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Diagnosis name</th><td>high blood pressure</td></tr><tr><th>Diagnosis name</th><td>high cholesterol</td></tr><tr><th>Diagnosis name</th><td>type-2 diabetes</td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:c5ab6503-c5c7-45a9-9222-02444ecbbec9" } ] }, { "title": "Discharge details", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "discharge-details", "display": "Discharge details" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Discharging consultant</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr><tr><th>Discharging specialty/department</th><td>General Surgery</td></tr><tr><th>Discharge location</th><td><p>Name: Cramer ward</p><p>Identifier: RR8CRAM</p></td></tr><tr><th>Date/time of discharge</th><td>27-Jan-2023 14:02</td></tr><tr><th>Discharge method</th><td>Patient discharged on clinical advice or with clinical consent</td></tr><tr><th>Discharge type</th><td>Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes Patients with no fixed abode.</td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:98d48b69-3b0c-4a17-9708-8094422d80a5" }, { "reference": "urn:uuid:b50caf6d-045b-4158-a859-47b0517f9651" } ] }, { "title": "Distribution list", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "distribution-list", "display": "Distribution list" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Name</th><td><p>Prefix: Mrs</p><p>Given Name: Angela</p><p>Family Name: Jones</p></td></tr><tr><th>Role</th><td>Community Nurse</td></tr><tr><th>Organisation name</th><td>Leeds Community Healthcare NHS Trust</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Name</th><td><p>Prefix: Dr</p><p>Given Name: John</p><p>Family Name: Lorenzo</p></td></tr><tr><th>Role</th><td>General Medical Practitioner</td></tr><tr><th>Organisation name</th><td>MGP Medical Centre</td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:3a624bc1-0817-4aba-8dae-3b390649abff" }, { "reference": "urn:uuid:0ac34604-9adf-4457-8234-2f90c4a68739" } ] }, { "title": "GP practice", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "general-practitioner-practice", "display": "GP practice" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>GP name</th><td><p>Prefix: Dr</p><p>Given Name: John</p><p>Family Name: Lorenzo</p></td></tr><tr><th>GP practice details</th><td><p>Name: MGP Medical Centre</p><p>Address:</p><p>Address Line: 1 MGP House, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 7PA</p></td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:8f9e7ab5-a028-45ca-a85f-4c220b6fc169" } ] }, { "title": "Medications and medical devices", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "medications-and-medical-devices", "display": "Medications and medical devices" } ] }, "text": { "status": "extensions", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Medication name</th><td>Metformin 500mg tablets</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>one to be taken twice daily for 5 more days and then one to be taken three times daily. And continue.</td></tr><tr><th>Status</th><td>Changed</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication name</th><td>Amlodipine</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>5mg once daily</td></tr><tr><th>Status</th><td>Added</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication name</th><td>Aspirin 75mg dispersible tablets</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>One to be taken each morning. Take with or after food</td></tr><tr><th>Status</th><td>Continued</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication name</th><td>Simvastatin</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>40mg once daily</td></tr><tr><th>Status</th><td>Continued</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication name</th><td>Furosemide 40mg tablets</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>80mg at 8am and 40mg at 2pm for 5 days. Then 40mg tablet – oral- daily at 8am</td></tr><tr><th>Status</th><td>Changed</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication name</th><td>Chloramphenicol 0.5% eye drops</td></tr><tr><th>Form</th><td>Eye drops</td></tr><tr><th>Route</th><td>Topical</td></tr><tr><th>Dose directions description</th><td>-2 drops 4 times daily to both eyes for 5 days</td></tr><tr><th>Status</th><td>Changed</td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:d56667e9-bd08-4b35-b49d-24af4cb76b00" } ] }, { "title": "Patient demographics", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "patient-demographics", "display": "Patient demographics" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Patient name</th><td><p>Prefix: Mrs</p><p>Given Name: Jill</p><p>Family Name: Jones</p></td></tr><tr><th>Date of birth</th><td>1 January 1951</td></tr><tr><th>Gender</th><td>Female</td></tr><tr><th>NHS number</th><td>9449303231</td></tr><tr><th>Patient address</th><td><p>Address Line: 21, Grove Street, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 1PF</p></td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" } ] }, { "title": "Person completing record", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "person-completing-record", "display": "Person completing record" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Name</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:b50caf6d-045b-4158-a859-47b0517f9651" } ] }, { "title": "Plan and requested actions", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "plan-and-requested-actions", "display": "Plan and requested actions" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Actions for healthcare professionals</th><td>GP please continue secondary preventative medication.</td></tr><tr><th>Actions for patient or their carer</th><td>Patient to attend community follow up after discharge.</td></tr></tbody></table></div>" } }, { "title": "Procedures", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "procedures", "display": "Procedures" } ] }, "text": { "status": "additional", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Procedure name</th><td>Surgical biopsy (procedure)</td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:ddc3d8b6-c642-4acb-a1f3-8ba8f683bb38" } ] }, { "title": "Referrer details", "code": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings", "code": "referral-details", "display": "Referrer details" } ] }, "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Referrer details</th><td><p>Name:</p><p>Prefix: Dr.</p><p>Given name: Amanda</p><p>Family name: Smith</p><p>Role: Specialist Registrar</p><p>Tel: 0113 6323222 (work)</p><p>Organisation</p><p>Name: St. James's University Hospital Accident and Emergency Department</p><p>Address Line: St James's University Hospital, Beckett Street</p><p>City: Leeds</p><p>Post Code: LS9 7TF</p></td></tr></tbody></table></div>" }, "entry": [ { "reference": "urn:uuid:248b1826-36d0-4982-9ac2-69a27931d946" }, { "reference": "urn:uuid:f54f14d0-ca1c-4ec6-b50b-1983c71811ee" } ] } ] } }, { "fullUrl": "urn:uuid:98d48b69-3b0c-4a17-9708-8094422d80a5", "resource": { "resourceType": "Encounter", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-AdmissionMethodEngland", "code": "13", "display": "Planned" } ] } } ], "status": "finished", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "IMP", "display": "inpatient encounter" }, "type": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "185212007", "display": "Seen in hospital ward" } ] } ], "subject": { "reference": "urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" }, "participant": [ { "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "DIS", "display": "discharger" } ] } ], "individual": { "reference": "urn:uuid:b50caf6d-045b-4158-a859-47b0517f9651" } } ], "period": { "start": "2015-02-12T09:00:00+00:00", "end": "2015-02-16T15:00:00+00:00" }, "reasonCode": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "425419005", "display": "ECG: inferior ischaemia" } ] } ], "hospitalization": { "admitSource": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-SourceOfAdmissionEngland", "code": "51", "display": "NHS other Hospital Provider - Ward for general Patients or the younger physically disabled or A and E department" } ] }, "dischargeDisposition": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeDestinationEngland", "code": "19", "display": "Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes Patients with no fixed abode." } ] } }, "location": [ { "location": { "reference": "urn:uuid:edded71f-3cab-43fb-8e82-fefe68700aaa" }, "period": { "end": "2015-02-16T15:00:00+00:00" } } ] } }, { "fullUrl": "urn:uuid:d56667e9-bd08-4b35-b49d-24af4cb76b00", "resource": { "resourceType": "List", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-List" ] }, "status": "current", "mode": "snapshot", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1102411000000102", "display": "Active medications" } ] }, "subject": { "reference": "urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" }, "encounter": { "reference": "urn:uuid:98d48b69-3b0c-4a17-9708-8094422d80a5" }, "source": { "reference": "urn:uuid:b50caf6d-045b-4158-a859-47b0517f9651" }, "entry": [ { "item": { "reference": "urn:uuid:490d3eb3-b7fb-4657-b38f-b375e9fb3ca2" } }, { "item": { "reference": "urn:uuid:f4672b2a-9662-43c2-94e5-295c854a70f5" } }, { "item": { "reference": "urn:uuid:39855080-aba5-40d1-b154-79a24d05b580" } }, { "item": { "reference": "urn:uuid:91eea753-f4a6-469c-af3d-8f7cf4862191" } }, { "item": { "reference": "urn:uuid:adf5fd63-0962-462c-9d91-189c66785dfa" } }, { "item": { "reference": "urn:uuid:342a856c-3d91-4081-97ab-aa09236dcb0d" } } ] } }, { "fullUrl": "urn:uuid:490d3eb3-b7fb-4657-b38f-b375e9fb3ca2", "resource": { "resourceType": "MedicationStatement", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement" ] }, "status": "active", "medicationReference": { "reference": "urn:uuid:c3249d33-e4eb-4228-aad9-81ce3682bbfd" }, "subject": { "reference": "urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" }, "dosage": [ { "sequence": 1, "text": "2 tablet - daily - oral", "timing": { "repeat": { "boundsDuration": { "value": 5, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" }, "frequency": 2, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "26643006", "display": "Oral" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1, "unit": "tablet", "system": "http://snomed.info/sct", "code": "428673006" } } ] }, { "sequence": 2, "text": "3 tablet - daily - oral", "timing": { "repeat": { "frequency": 3, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "26643006", "display": "Oral" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1, "unit": "tablet", "system": "http://snomed.info/sct", "code": "428673006" } } ] } ] } }, { "fullUrl": "urn:uuid:f4672b2a-9662-43c2-94e5-295c854a70f5", "resource": { "resourceType": "MedicationStatement", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement" ] }, "status": "active", "medicationReference": { "reference": "urn:uuid:3986b0c2-8a77-4b6a-a57b-093a00171fd0" }, "subject": { "reference": "urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" }, "dosage": [ { "text": "5mg tablet once daily", "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "26643006", "display": "Oral" } ] }, "doseAndRate": [ { "doseQuantity": { "value": 1, "unit": "tablet", "system": "http://snomed.info/sct", "code": "428673006" } } ] } ] } }, { "fullUrl": "urn:uuid:39855080-aba5-40d1-b154-79a24d05b580", "resource": { "resourceType": "MedicationStatement", "meta": { "profile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement" ] }, "status": "active", "medicationReference": { "reference": "urn:uuid:d3dcc9c9-463a-46b6-a4c5-82adafe517cc" }, "subject": { "reference": "urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" }, "dosage": [ { "text": "One to be taken each morning. 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Because of conjunctivitis, she was started on antibiotic eye drops 3 days prior admission, to be continued for 10 days in total.</p><p>Surgery was uneventful but she developed significant ankle oedema, discharged on diuretic.</p></td></tr></tbody></table></div> </text> </section> <section> <title value="Diagnoses" /> <code> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" /> <code value="diagnoses" /> <display value="Diagnoses" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Diagnosis name</th><td>high blood pressure</td></tr><tr><th>Diagnosis name</th><td>high cholesterol</td></tr><tr><th>Diagnosis name</th><td>type-2 diabetes</td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:c5ab6503-c5c7-45a9-9222-02444ecbbec9" /> </entry> </section> <section> <title value="Discharge details" /> <code> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" /> <code value="discharge-details" /> <display value="Discharge details" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Discharging consultant</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr><tr><th>Discharging specialty/department</th><td>General Surgery</td></tr><tr><th>Discharge location</th><td><p>Name: Cramer ward</p><p>Identifier: RR8CRAM</p></td></tr><tr><th>Date/time of discharge</th><td>27-Jan-2023 14:02</td></tr><tr><th>Discharge method</th><td>Patient discharged on clinical advice or with clinical consent</td></tr><tr><th>Discharge type</th><td>Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes Patients with no fixed abode.</td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:98d48b69-3b0c-4a17-9708-8094422d80a5" /> </entry> <entry> <reference value="urn:uuid:b50caf6d-045b-4158-a859-47b0517f9651" /> </entry> </section> <section> <title value="Distribution list" /> <code> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" /> <code value="distribution-list" /> <display value="Distribution list" /> </coding> </code> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Name</th><td><p>Prefix: Mrs</p><p>Given Name: Angela</p><p>Family Name: Jones</p></td></tr><tr><th>Role</th><td>Community Nurse</td></tr><tr><th>Organisation name</th><td>Leeds Community Healthcare NHS Trust</td></tr></tbody></table><table width="100%"><tbody><tr><th>Name</th><td><p>Prefix: Dr</p><p>Given Name: John</p><p>Family Name: Lorenzo</p></td></tr><tr><th>Role</th><td>General Medical Practitioner</td></tr><tr><th>Organisation name</th><td>MGP Medical Centre</td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:3a624bc1-0817-4aba-8dae-3b390649abff" /> </entry> <entry> <reference value="urn:uuid:0ac34604-9adf-4457-8234-2f90c4a68739" /> </entry> </section> <section> <title value="GP practice" /> <code> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" /> <code value="general-practitioner-practice" /> <display value="GP practice" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>GP name</th><td><p>Prefix: Dr</p><p>Given Name: John</p><p>Family Name: Lorenzo</p></td></tr><tr><th>GP practice details</th><td><p>Name: MGP Medical Centre</p><p>Address:</p><p>Address Line: 1 MGP House, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 7PA</p></td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:8f9e7ab5-a028-45ca-a85f-4c220b6fc169" /> </entry> </section> <section> <title value="Medications and medical devices" /> <code> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" /> <code value="medications-and-medical-devices" /> <display value="Medications and medical devices" /> </coding> </code> <text> <status value="extensions" /> <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Medication name</th><td>Metformin 500mg tablets</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>one to be taken twice daily for 5 more days and then one to be taken three times daily. And continue.</td></tr><tr><th>Status</th><td>Changed</td></tr></tbody></table><table width="100%"><tbody><tr><th>Medication name</th><td>Amlodipine</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>5mg once daily</td></tr><tr><th>Status</th><td>Added</td></tr></tbody></table><table width="100%"><tbody><tr><th>Medication name</th><td>Aspirin 75mg dispersible tablets</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>One to be taken each morning. Take with or after food</td></tr><tr><th>Status</th><td>Continued</td></tr></tbody></table><table width="100%"><tbody><tr><th>Medication name</th><td>Simvastatin</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>40mg once daily</td></tr><tr><th>Status</th><td>Continued</td></tr></tbody></table><table width="100%"><tbody><tr><th>Medication name</th><td>Furosemide 40mg tablets</td></tr><tr><th>Form</th><td>Tablet</td></tr><tr><th>Route</th><td>Oral</td></tr><tr><th>Dose directions description</th><td>80mg at 8am and 40mg at 2pm for 5 days. Then 40mg tablet – oral- daily at 8am</td></tr><tr><th>Status</th><td>Changed</td></tr></tbody></table><table width="100%"><tbody><tr><th>Medication name</th><td>Chloramphenicol 0.5% eye drops</td></tr><tr><th>Form</th><td>Eye drops</td></tr><tr><th>Route</th><td>Topical</td></tr><tr><th>Dose directions description</th><td>-2 drops 4 times daily to both eyes for 5 days</td></tr><tr><th>Status</th><td>Changed</td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:d56667e9-bd08-4b35-b49d-24af4cb76b00" /> </entry> </section> <section> <title value="Patient demographics" /> <code> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" /> <code value="patient-demographics" /> <display value="Patient demographics" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Patient name</th><td><p>Prefix: Mrs</p><p>Given Name: Jill</p><p>Family Name: Jones</p></td></tr><tr><th>Date of birth</th><td>1 January 1951</td></tr><tr><th>Gender</th><td>Female</td></tr><tr><th>NHS number</th><td>9449303231</td></tr><tr><th>Patient address</th><td><p>Address Line: 21, Grove Street, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 1PF</p></td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:fef0d015-b4fb-4d34-ad1a-df97fd4f76c7" /> </entry> </section> <section> <title value="Person completing record" /> <code> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" /> <code value="person-completing-record" /> <display value="Person completing record" /> </coding> </code> <text> <status value="additional" /> <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Name</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr></tbody></table></div> </text> <entry> <reference value="urn:uuid:b50caf6d-045b-4158-a859-47b0517f9651" /> </entry> 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